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Journal of Hand Surgery (European Volume)
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Articles

The Preliminary Results of Treatment of Symptomatic Carpal Boss by Wedge Joint Resection, Radial Bone Grafting and Arthrodesis with a Shape Memory Staple

PATRICK LORÉA
SERGE SCHMITZ
MIHAI ASCHILIAN
AURA CHIRILA-DOBREA
ADINA D. PETREA

From the SOS Main Strasbourg Centre, Strasbourg, France

Correspondence: Patrick Loréa, SOS Main Strasbourg Centre, 4 rue Ste Elisabeth, 67000 Strasbourg, France. Tel.: +33 388354500. E-mail: loreapatrick{at}yahoo.fr.

There is no consensus regarding the aetiology or treatment of carpal boss. Recurrences or carpometacarpal instability is reported after simple resection. Carpometacarpal arthrodesis has been proposed as a primary treatment and after failure of simple resection. This paper reports the results at a mean follow-up of 17 (range 13–28) months of treatment by wedge-shaped joint resection, corticocancellous radial bone graft and arthrodesis with a shape memory staple of seven of 32 patients who presented with a painful carpal boss. The study group included five women and two men of mean age at operation 29 (range 18–40) years. Fusion was achieved in all cases and all patients were pain free at follow-up. No complications occurred and all the patients were pleased with the aesthetic aspect of the treatment.

Key Words: carpal boss • arthrodesis • osteosynthesis • carpometacarpal joints • instability • staple

Journal of Hand Surgery (European Volume), Vol. 33, No. 2, 174-178 (2008)
DOI: 10.1177/1753193408087068
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